| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,612 |
1,255 |
$144K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,589 |
1,568 |
$109K |
| 92065 |
|
3,127 |
993 |
$84K |
| 92015 |
Determination of refractive state |
2,183 |
2,137 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
762 |
748 |
$43K |
| 92060 |
|
365 |
344 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
305 |
151 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
271 |
268 |
$4K |
| V2020 |
Frames, purchases |
246 |
242 |
$3K |
| 92250 |
|
24 |
24 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
392 |
194 |
$0.00 |